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Dietary quality of predominantly traditional diets is associated with blood glucose profiles, but not with total fecal Bifidobacterium in Indonesian women

BACKGROUND: A high quality modern diet is associated with reduced risk of metabolic disease and diabetes. However, it remains unclear whether the quality of predominantly traditional ethnic diets is associated with such conditions. Moreover, the relationship between dietary quality and microbiota, a...

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Autores principales: Stefani, Shiela, Ngatidjan, Sanny, Paotiana, Monica, Sitompul, Kurnia A., Abdullah, Murdani, Sulistianingsih, Dyah P., Shankar, Anuraj H., Agustina, Rina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303024/
https://www.ncbi.nlm.nih.gov/pubmed/30576336
http://dx.doi.org/10.1371/journal.pone.0208815
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author Stefani, Shiela
Ngatidjan, Sanny
Paotiana, Monica
Sitompul, Kurnia A.
Abdullah, Murdani
Sulistianingsih, Dyah P.
Shankar, Anuraj H.
Agustina, Rina
author_facet Stefani, Shiela
Ngatidjan, Sanny
Paotiana, Monica
Sitompul, Kurnia A.
Abdullah, Murdani
Sulistianingsih, Dyah P.
Shankar, Anuraj H.
Agustina, Rina
author_sort Stefani, Shiela
collection PubMed
description BACKGROUND: A high quality modern diet is associated with reduced risk of metabolic disease and diabetes. However, it remains unclear whether the quality of predominantly traditional ethnic diets is associated with such conditions. Moreover, the relationship between dietary quality and microbiota, a potential mediator of metabolic disease, has not been studied. OBJECTIVE: We investigated the relationship of dietary quality of traditional ethnic diets in Indonesia with fasting blood glucose (FBG), HbA1c, and the number of fecal Bifidobacterium. DESIGN: A cross-sectional study was conducted in selected districts with predominantly animal- or plant-based traditional diets of West Sumatera and West Java provinces, respectively. A total of 240 apparently healthy women aged 19–50 years were randomly selected from 360 women screened by a cluster sampling design. Dietary quality was assessed by 2-day repeated 24-hour food recall, and scored using the Healthy Eating Index (HEI) 2010. FBG was quantified with the enzymatic colorimetric method, and HbA1c by using hexokinase and high-performance liquid chromatography, and total fecal Bifidobacterium by real-time quantitative polymerase chain reaction. RESULTS: The HEI scores of 99% of women were <51, indicating a low-quality diet. In adjusted multivariate regression, HEI was inversely associated with FBG (ß = -0.403; 95% CI = -0.789 to -0.016; p = 0.041) and HbA1c (ß = -0.018; 95% CI = -0.036 to 0.000; p = 0.048) but was not significantly associated with total levels of Bifidobacterium (ß = -0.007, p = 0.275). Bifidobacterium count was not significantly associated with either FBG or HbA1c levels. CONCLUSION: Low dietary quality is clearly associated with risk of increased markers of blood glucose. However, any mediating role of Bifidobacterium between dietary quality and glucose outcomes was not apparent. Innovative interventions for healthy eating should be implemented to increase dietary quality of populations transitioning from predominantly traditional to modern diets, to reduce the risk of diabetes, especially in women.
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spelling pubmed-63030242019-01-08 Dietary quality of predominantly traditional diets is associated with blood glucose profiles, but not with total fecal Bifidobacterium in Indonesian women Stefani, Shiela Ngatidjan, Sanny Paotiana, Monica Sitompul, Kurnia A. Abdullah, Murdani Sulistianingsih, Dyah P. Shankar, Anuraj H. Agustina, Rina PLoS One Research Article BACKGROUND: A high quality modern diet is associated with reduced risk of metabolic disease and diabetes. However, it remains unclear whether the quality of predominantly traditional ethnic diets is associated with such conditions. Moreover, the relationship between dietary quality and microbiota, a potential mediator of metabolic disease, has not been studied. OBJECTIVE: We investigated the relationship of dietary quality of traditional ethnic diets in Indonesia with fasting blood glucose (FBG), HbA1c, and the number of fecal Bifidobacterium. DESIGN: A cross-sectional study was conducted in selected districts with predominantly animal- or plant-based traditional diets of West Sumatera and West Java provinces, respectively. A total of 240 apparently healthy women aged 19–50 years were randomly selected from 360 women screened by a cluster sampling design. Dietary quality was assessed by 2-day repeated 24-hour food recall, and scored using the Healthy Eating Index (HEI) 2010. FBG was quantified with the enzymatic colorimetric method, and HbA1c by using hexokinase and high-performance liquid chromatography, and total fecal Bifidobacterium by real-time quantitative polymerase chain reaction. RESULTS: The HEI scores of 99% of women were <51, indicating a low-quality diet. In adjusted multivariate regression, HEI was inversely associated with FBG (ß = -0.403; 95% CI = -0.789 to -0.016; p = 0.041) and HbA1c (ß = -0.018; 95% CI = -0.036 to 0.000; p = 0.048) but was not significantly associated with total levels of Bifidobacterium (ß = -0.007, p = 0.275). Bifidobacterium count was not significantly associated with either FBG or HbA1c levels. CONCLUSION: Low dietary quality is clearly associated with risk of increased markers of blood glucose. However, any mediating role of Bifidobacterium between dietary quality and glucose outcomes was not apparent. Innovative interventions for healthy eating should be implemented to increase dietary quality of populations transitioning from predominantly traditional to modern diets, to reduce the risk of diabetes, especially in women. Public Library of Science 2018-12-21 /pmc/articles/PMC6303024/ /pubmed/30576336 http://dx.doi.org/10.1371/journal.pone.0208815 Text en © 2018 Stefani et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Stefani, Shiela
Ngatidjan, Sanny
Paotiana, Monica
Sitompul, Kurnia A.
Abdullah, Murdani
Sulistianingsih, Dyah P.
Shankar, Anuraj H.
Agustina, Rina
Dietary quality of predominantly traditional diets is associated with blood glucose profiles, but not with total fecal Bifidobacterium in Indonesian women
title Dietary quality of predominantly traditional diets is associated with blood glucose profiles, but not with total fecal Bifidobacterium in Indonesian women
title_full Dietary quality of predominantly traditional diets is associated with blood glucose profiles, but not with total fecal Bifidobacterium in Indonesian women
title_fullStr Dietary quality of predominantly traditional diets is associated with blood glucose profiles, but not with total fecal Bifidobacterium in Indonesian women
title_full_unstemmed Dietary quality of predominantly traditional diets is associated with blood glucose profiles, but not with total fecal Bifidobacterium in Indonesian women
title_short Dietary quality of predominantly traditional diets is associated with blood glucose profiles, but not with total fecal Bifidobacterium in Indonesian women
title_sort dietary quality of predominantly traditional diets is associated with blood glucose profiles, but not with total fecal bifidobacterium in indonesian women
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303024/
https://www.ncbi.nlm.nih.gov/pubmed/30576336
http://dx.doi.org/10.1371/journal.pone.0208815
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